1. Student assessment Extended Matching Items Trevor Gibbs

3. Student assessment Extended Matching Items Extended matching items/questions ( Type R, EMI or EMQ) are a written examination format similar multiple choice questions but with one key difference, that they test knowledge in a far more applied, in depth, sense. multiple choicemultiple choice

4. Student assessment Extended Matching Items Acute intermittent porphyria is a result of a defect in the biosynthetic pathway for: A. collagen B. corticosteroid C. fatty acid D. glucose E. haem F. thyroxine

5. Student assessment Extended Matching Items Acute intermittent porphyria is a result of a defect in the biosynthetic pathway for: A. collagen B. corticosteroid C. fatty acid D. glucose E. haem * F. thyroxine

6. Student assessment Extended Matching Items An otherwise healthy 33-year-old man has mild weakness and occasional episodes of steady, severe abdominal pain, but no diarrhoea. One aunt and a cousin have had similar episodes. During an episode his abdomen is distended, and bowel sounds are decreased. Neurological examination shows a mild weakness in the upper arms. These finding suggest a defect in the biosynthetic pathway for:

7. Student assessment Extended Matching Items Q: Name an encapsulated Gram-positive organism that usually grows in pairs or short chains. A: Streptococcus pneumoniae

8. Student assessment Extended Matching Items Q: A 7-year-old girl has a high fever and a sore throat. There is pharyngeal redness, and a swollen right tonsil with creamy exudate, and painful right submandibular lymphadenopathy. Throat culture on blood agar yields numerous small β-haemolytic colonies that are inhibited by bacitracin. What is the likely cause of the illness? A:Streptococcus pyogenes

9. Student assessment Extended Matching Items Extended Matching Items type questions can measure both the depth and breadth of knowledge and increase contextual learning They make you think !! And are therefore better measures of the thinking process They also make faculty think !!

10. Student assessment Extended Matching Items Structuring an EMI question: 5 components: Theme Focus Options Lead in Stems

11. Student assessment Extended Matching Items Theme: Pneumonia Focus: Causative agents Options: List 8-10 causative agents of pneumonia Lead in: For each of the following clinical short scenarios, described below, select the most likely causative agent Write a learning objective ( maturity, domain & hierarchy) ( Must, should, could, nice to know)

12. Student assessment Extended Matching Items Lead in: For each of the following clinical scenarios select the most likely causative agent Stems: a) A 65 year old smoker presenting with cough and… b) A 2 day old premature baby with … c) A 55 years old lady receiving radiotherapy for carcinoma of the breast d) A 23 years old male homosexual with Kaposi’s sarcoma.. e) A Chinese migrant poultry worker….